| NPI | 1013038322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR IZRAILOV Owner 718-934-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 12444664) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-03-26 |